Organization
CAROLINA COUNSELING SPECIALISTS, PLLC
Active
Organization
CAROLINA COUNSELING SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER FORD KELLY M. ED., ED. S, LPC (MEMBER/MANAGER/COUNSELOR)
(919) 345-8965
Entity
Organization
Contact information
Practice address
316 W MILLBROOK RD, SUITE 101, RALEIGH, NC 27609-4478
(919) 345-8965
Mailing address
316 W MILLBROOK RD, SUITE 101, RALEIGH, NC 27609-4478
(919) 345-8965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5092
NC
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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